Reviews and provides approval on cases which the MCO plans to take to trial
Reviews coverage, liability, and/or damages on the most complex cases referred for authorization and collaborates with Field leadership on additional steps to be taken and other feedback and direction
May serve as specialist and subject matter expert on projects as needed
Performs file reviews for various highly complex projects or for cases in litigation, analyzes data, and reports findings
Reviews cases to determine if CWP is appropriate given gross tort value exposure
Supports the Field with discretionary referrals on the most complex coverage issues and engages Home Office Claim litigation for involvement and direction, as needed
Collaborates with Frontline Performance Experts (FPEs), Frontline Performance Leaders (FPLs), and Claim Process Specialists (CPSs) to share experience and trends identified in referred cases
Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices
Supervisory Responsibilities
This job does not have supervisory duties.
#LI-KR1
Benefits
Compensation offered for this role is 98,100.00 - 167,850.00 annually and is based on experience and qualifications.For jobs in San Francisco, please click " here " for information regarding the San Francisco Fair Chance Ordinance.For jobs in Los Angeles, please click " here " for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.To view the "EEO Know Your Rights" poster click " here ". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.To view the FMLA poster, click " here ". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.Health insuranceVision insurance
Additional Information
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs.
We are seeking an experienced Large Loss Adjuster with bodily injury claims experience. This role manages high-exposure claims from $250,000 plus country wide. The team handles both commercial and personal auto bodily injury claims as well as Homeowners losses. Our commercial claims primarily involve interstate trucking. Previous litigation and homeowner's claim's experience considered a strong plus! Experience attending trials and mediations is preferred. If you're ready to plant your roots with a stable organization, apply today!
Allstate · - AZ (remote)